In Arkansas, 30 percent of the state’s population — about 912,000 people — were enrolled in some form of Medicaid in March 2017, according to data from the Centers for Medicare & Medicaid Services. That figure includes enrollment in the Children’s Health Insurance Program, or CHIP, which together with Medicaid pays for ARKids A and B.Nonprofit children's hospitals are most reliant on Medicaid money. A 2014 Moody's report said Arkansas Children's Hospital received 62 percent of general revenue from Medicaid. A flattening and ultimate reduction of this spending could be catastrophic.
Marquita Little, health policy director at Arkansas Advocates for Children and Families, said the Senate bill “goes well beyond the political promise of repealing Obamacare. It restructures Medicaid funding. And so, it really is a U-turn on the promise that the federal government has always made to states — that Medicaid would be funded through a state-federal partnership.”